| NPI | 1962845560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: OK 5298) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-07-21 |