| NPI | 1588049795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-923) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-09-08 |