| NPI | 1225399025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085978-1) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2017-11-28 |