| NPI | 1730698465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.023829) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 097-0114018) |
| 1041C0700X Social Worker Clinical (Licence: VT 089.0122744) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-05 |