| NPI | 1720862543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.007884) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |