| NPI | 1881978435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 458) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PCSW-458) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2022-11-17 |