| NPI | 1376982751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-07-03 |