| NPI | 1720310972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-791) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2017-01-04 |