| NPI | 1619301819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-557) |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2022-05-17 |