| NPI | 1598949869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0055532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016262) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2011-09-28 |