| NPI | 1255002630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 3099) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 104100000X Social Worker (Licence: VT 089.0113305) | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-02-02 |