| NPI | 1437818648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC20765) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2024-06-03 |