| NPI | 1235578501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW-272) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-10-17 |