| NPI | 1952948713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0110487) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 30961) |
| Enumeration Date | 2019-11-28 |
| Last Update Date | 2023-12-14 |