| NPI | 1104096585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 366981-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0001211) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2022-10-17 |