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 |