| NPI | 1598243156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW--1316) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1598243156) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-10-10 |