| NPI | 1457761686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-911) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-522) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-10-28 |