| NPI | 1568723237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0086252) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2016-06-19 |