NPI | 1366799645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0093990) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9917) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2017-01-17 |