| NPI | 1487241089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0129424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801082959) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2024-03-28 |