| NPI | 1861809543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0119572) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 089.0119572) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-08-08 |