| NPI | 1356646996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0119321) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 16640) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2024-02-13 |