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 |