| 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 | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-07-15 |