| NPI | 1639530280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089388) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2026-04-28 |