| NPI | 1518050541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1086) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-372) |
| 1041C0700X Social Worker, Clinical (Licence: ND LCSW-4909) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-05-15 |