| NPI | 1801347927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 675) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-10-12 |