| NPI | 1598047193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0138020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0103763) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2025-09-03 |