| NPI | 1245789692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW #117) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |