| NPI | 1568600591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2055) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VT 089-0001284) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2018-07-17 |