| NPI | 1952477002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0001050) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-09-23 |