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 |