| NPI | 1215450580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890134336) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090044) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-01-08 |