| NPI | 1902315336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 24544) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-11-02 |