| NPI | 1093143158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY 1175) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY PCSW-566) |
| 1041C0700X Social Worker Clinical (Licence: WY PCSW 718) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2023-09-26 |