| NPI | 1437264439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890000157) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |