| NPI | 1376911396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8302) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A4991) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 2011412) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-07-21 |