| NPI | 1124578539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0134140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015417) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-07-23 |