| NPI | 1821155136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0064378) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18457) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-06-19 |