| NPI | 1497444616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1059) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-10-09 |