| NPI | 1114977253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1015428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000688) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-12-12 |