| NPI | 1235511486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15448) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-10-10 |