| NPI | 1770902025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 1040) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-04-09 |