| NPI | 1962657718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890001279) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2010-02-11 |