| NPI | 1639535420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0058293) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 2686) |
| 1041C0700X Social Worker Clinical (Licence: CA 21545) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-04-22 |