NPI | 1992129530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY lCSW-1216) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY pcsw-746) |
172V00000X Community Health Worker | |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-07-26 |