| NPI | 1639896756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0098983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2898) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-01-24 |