| NPI | 1245546712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0091524) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2022-01-21 |