| NPI | 1801350038 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0134436) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09927183) | 
| Enumeration Date | 2019-01-22 | 
| Last Update Date | 2025-05-21 |