| NPI | 1417025040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0046104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14228253-3501) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2025-12-05 |