| NPI | 1790668390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1304) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2026-06-04 |