| NPI | 1619416138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0095490) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2020-04-16 |