| NPI | 1447639026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115605) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890111504) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2019-02-04 |