| NPI | 1538037692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137055) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 097.0135742) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2026-04-10 |