| NPI | 1457676637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890063051) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2012-09-26 |