| NPI | 1912576794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6610) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 27401) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-02-25 |