| NPI | 1427126606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 0890000210) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-07-15 |