| NPI | 1497333728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024645) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-04-22 |