| NPI | 1912336249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0082183) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |