| NPI | 1962923912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: WY PTSB71518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1139) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-08-16 |