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 |