| NPI | 1871374892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0135549) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 3110) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-05-02 |