| NPI | 1245759968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 2187) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VT 0890129752) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-03-06 |