| NPI | 1336158724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000665) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 089-0000665) |
| 104100000X Social Worker (Licence: VT 089-0000665) | |
| 1041S0200X Social Worker, School (Licence: VT 089-0000665) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-10-02 |