| NPI | 1295284180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 38877) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY PCSW-708) |
| 1041C0700X Social Worker Clinical (Licence: WY LCSW-1087) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-09-07 |