| 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 |