| NPI | 1790137420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14587) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2025-10-14 |