| NPI | 1730709437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-869) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-04-17 |