| NPI | 1841580735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY CSW 223) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-10-10 |