| NPI | 1124718739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0136438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 15457) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-08-27 |