| NPI | 1669792040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WY PCSW-1154) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY CSW-179) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-05-20 |