| NPI | 1194202960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093358-01) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-02-10 |