| NPI | 1558987065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0135462) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA LCSW226609) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-11-15 |