| NPI | 1174641575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125588) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0001150) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-10-08 |