| NPI | 1750847786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-36723) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1434) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-04-15 |