| NPI | 1407370570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890114300) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-08-05 |