| NPI | 1669766309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0077992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1592) |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2023-11-01 |