| NPI | 1043106628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0136658TELE) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-08-11 |