| NPI | 1033491147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201141026RN) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2022-03-05 |