| NPI | 1588994479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0061724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 117506) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2022-06-17 |