| NPI | 1932420569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992110) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-07-10 |