| NPI | 1255465100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0077717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1201) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-09-13 |