| NPI | 1902315500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0124285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077209) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |