| NPI | 1831576073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0122342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015004214) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2023-09-12 |