| NPI | 1700438736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000224871) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-06-02 |