| NPI | 1639526171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890001138) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |