| NPI | 1861673642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW-1045) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WY CAP-066) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2021-01-15 |