| NPI | 1164776431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0127277) |
| 1041C0700X Social Worker, Clinical (Licence: WI 8970) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 118984) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2024-02-15 |