| NPI | 1649789918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085859-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0116190) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |