| NPI | 1659148930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135838) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VT 097.0134980) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-06-20 |