NPI | 1356788319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0112323) |
Additional Taxonomies | 104100000X Social Worker (Licence: VT 089.0112323) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2025-06-19 |