| NPI | 1942762752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59879) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-08-09 |