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 |