| NPI | 1396127957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134302) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-08-02 |