| NPI | 1225372790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW-210) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2023-08-15 |