| NPI | 1174959621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 3202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0064851) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-07-02 |