| NPI | 1841438561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55396) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2022-01-03 |