NPI | 1689712085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114998) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2787) |
1041C0700X Social Worker, Clinical (Licence: VT 089.0135748) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2024-07-23 |