| NPI | 1285050583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0128635) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 219658) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2021-05-27 |