| NPI | 1609497932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VT 089-0134167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134167) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-12-07 |