| NPI | 1154948040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-909) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-05-19 |