| NPI | 1851994347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW1568) |
| 1041C0700X Social Worker, Clinical (Licence: WY PCSW-936) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2023-10-20 |