| NPI | 1396308409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122182) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2026-05-18 |