| NPI | 1336568286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0134123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087884) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-04-19 |