| NPI | 1073786844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3605) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2007000625) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2018-03-17 |