| NPI | 1962046516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0129617) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |