| NPI | 1598235905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0132905) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0123087) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-08-21 |