| NPI | 1053605683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY LCSW-1024) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 1041C0700X Social Worker Clinical (Licence: WY LCSW-1024) | |
| 101YM0800X Counselor Mental Health (Licence: WY LCSW-1024) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2016-11-10 |