| NPI | 1700254521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY pcsw-1121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW-251) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2023-09-22 |