| NPI | 1528769502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VT 097.0139124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06920900) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-09-22 |