| NPI | 1174991244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L9519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00926755) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-11-18 |