| NPI | 1124136270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000982) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 558) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 103904) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2015-04-03 |