| NPI | 1770151938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 6718) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-12-28 |