| NPI | 1295950897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000659) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-04-03 |