| NPI | 1295289965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05639800) |
| 1041C0700X Social Worker, Clinical (Licence: NY 083645-1) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-05-20 |