| NPI | 1124002373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252484) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-185) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-07-16 |