| NPI | 1407245525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093539) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-04-06 |