| NPI | 1275256349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135625) |
| 1041C0700X Social Worker, Clinical (Licence: CT 13802) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-03-07 |