| NPI | 1972696227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2382) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4573) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2011-11-07 |