| NPI | 1992129530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY pcsw-746) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2018-09-27 |