| NPI | 1518339399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1197) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 09926261) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-10-21 |