| NPI | 1801402227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134279) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-12-02 |