| NPI | 1619251188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-476) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2020-06-19 |