| NPI | 1144819020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134321) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-06-17 |