| NPI | 1396961835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 1015LCSW) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-08-16 |