| NPI | 1124165444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0092266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 12992) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-04-23 |