| NPI | 1235672320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1070) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2024-10-16 |