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 |