| NPI | 1558084616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1667) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-72643) |
| 1041C0700X Social Worker, Clinical (Licence: WY 1055) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-07-10 |