| NPI | 1770601098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 104994) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-09 |