| NPI | 1568714681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY CSW166) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY CSW-166) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2021-03-15 |