| NPI | 1366777468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 089.0084095) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-10-17 |