NPI | 1801391677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20407) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK L0062071) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-03-23 |