NPI | 1104092519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0001236) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890001236) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2014-01-07 |