| NPI | 1275056707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-908) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-05-23 |