| NPI | 1326372673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890071481) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 415598) |
| 1041C0700X Social Worker, Clinical (Licence: MA 115254) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2016-06-06 |