| NPI | 1467552109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1026325) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2008-06-04 |