| NPI | 1710758172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WY PCSW-1123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1123) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-02-27 |