| NPI | 1962709626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 69506) |
| 1041C0700X Social Worker, Clinical (Licence: FL 252) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2021-10-18 |