| NPI | 1508129404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008948) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134157) | |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2019-03-18 |