| NPI | 1245713437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1393) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-844) |
| 1041C0700X Social Worker, Clinical (Licence: WY CSW-259) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-04-17 |