| NPI | 1114610474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135220) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC22501) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |