| NPI | 1598782559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 0890000847) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-09-15 |