| NPI | 1972165009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-853) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-09-22 |