| NPI | 1841830023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0113812) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 2312) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |