| NPI | 1144613134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1276) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L12201) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2022-09-12 |