| NPI | 1023144581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 31766) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-04-13 |