| NPI | 1245379353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 0890051194) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS23430) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-09-30 |