| NPI | 1740857838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 958) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-04-22 |