| NPI | 1619992989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0088361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R043140-1) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-11-06 |