| NPI | 1720693864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089910) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-02-09 |