| NPI | 1376776765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134223) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW006808) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-10-30 |