| NPI | 1619242724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1408) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-09-21 |