| NPI | 1831579416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0134188) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P009443) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-06-11 |