| NPI | 1831293430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 22800) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-07-21 |