| NPI | 1669199410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 228002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 156.0134044) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |