| NPI | 1588959324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW #965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-580) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-03-29 |