| NPI | 1447580436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-459) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2017-03-16 |