| NPI | 1518414192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8475) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: OR A3790) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-02-24 |