| 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 |