| NPI | 1255871018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WY Wyoming Peer Special) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-03-09 |