| NPI | 1376143222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1629) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-01-10 |