| NPI | 1245600196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0136939) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2026-03-22 |