| NPI | 1881106482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0131403) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 089.0131403) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2023-08-08 |