| NPI | 1962608786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0106418) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2027) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-11-16 |