| NPI | 1568070225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1004) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-02-04 |