| NPI | 1952323933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000634) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1028442) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-15 |