| NPI | 1336689074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1149) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW1676) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2024-03-26 |