| NPI | 1043801814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 097.0133165) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VT 089.0134365) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |