| NPI | 1790366797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65726) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-06-06 |