| NPI | 1609049816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135360) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-11-15 |