| NPI | 1609410547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW-312) |
| 1041C0700X Social Worker, Clinical (Licence: WY PCSW-937) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-11-29 |