| NPI | 1306225313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-647) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-03-17 |