| NPI | 1609416973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134621) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0134691) |
| 1041C0700X Social Worker, Clinical (Licence: VT 156.0133903) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-06-27 |