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 |