| NPI | 1164978623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW-260) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-12-15 |