| NPI | 1982745410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 004575) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-07-21 |