| NPI | 1699826602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0001104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1026261) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-06-06 |