| NPI | 1447792593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCSW-1130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PCSW-685) |
| 104100000X Social Worker (Licence: WY PCSW-685) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2018-07-23 |