| NPI | 1922348739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4681) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 4681) |
| 1041C0700X Social Worker, Clinical (Licence: TX 51239) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2022-09-08 |