| NPI | 1649608274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119435) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-02-10 |