| NPI | 1225059751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000359) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 089-0000359) |
| 104100000X Social Worker (Licence: VT 089-0000359) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0000359) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-03-03 |