| NPI | 1356627764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-444) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2013-03-30 |