| NPI | 1861419624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089-0001028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 089-0001028) |
| 1041S0200X Social Worker School (Licence: VT 089-0001028) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-02-05 |