| NPI | 1306024922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2020470) |
| 1041C0700X Social Worker, Clinical (Licence: MA 114471) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2019-02-12 |