| NPI | 1124230354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-997) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 1383) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-06-02 |