| NPI | 1285920207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 758) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WY WY758) |
| 172V00000X Community Health Worker (Licence: WY 758) | |
| 101YM0800X Counselor, Mental Health (Licence: WY 758) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-07-20 |