| NPI | 1376892976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-515) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-07-15 |