| NPI | 1558731547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0135018) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT 097.0133515) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-12-08 |