| NPI | 1063448694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089-0000928) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R042998-1) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |