| NPI | 1033580345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1922) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VT 089.0090956) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-03-17 |