| NPI | 1790943520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-226) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2016-06-07 |