| NPI | 1013257484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890001132) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 0890001132) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-10-23 |