| NPI | 1861694523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28348) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-10-04 |