| NPI | 1134591498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-649) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-11-03 |