| NPI | 1992958664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW1027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW318) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-02-10 |