| NPI | 1124108931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WY CSW-099) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 099) |
| 101Y00000X Counselor (Licence: WY CSW-099) | |
| 1041C0700X Social Worker, Clinical (Licence: WY CSW-099) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-02-18 |