| NPI | 1487026118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 258) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-08-22 |