| NPI | 1730428061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089-0066071) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VT 151-0126413) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-08-20 |