| NPI | 1679849996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1507) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C011672) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-01-30 |