| NPI | 1194484584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 226874) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 153.0133907) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2023-08-04 |