| NPI | 1609319995 |
|---|---|
| Former Name | BRIDGET AVERILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09925449) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921304) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2018-08-22 |