| NPI | 1538479209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-845) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2019-07-19 |