| NPI | 1821612458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 70725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1210) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-11-07 |