| NPI | 1356904817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 156.0133893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06322500) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-07-20 |