| NPI | 1952829723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6463) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 9925016) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-07-29 |