| NPI | 1003186776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084017) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137092) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2026-05-06 |