NPI | 1346768678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0121079) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 097.0107788) |
1041C0700X Social Worker, Clinical | |
172V00000X Community Health Worker | |
Enumeration Date | 2017-09-07 |
Last Update Date | 2024-10-31 |