| NPI | 1346468667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089-0000670) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 002818) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |