| NPI | 1821173998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0072501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05141100) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-03-28 |