| NPI | 1114792629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137072) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2026-07-09 |