| NPI | 1326474156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY WY-1490) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WY PPC-781) |
| 172V00000X Community Health Worker (Licence: WY PPC-781) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2024-05-22 |