| NPI | 1689134934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 243753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137008) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-04-07 |