| NPI | 1548641012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-787) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-06-05 |