| NPI | 1962048975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 156.0133885) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0134629) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-01-08 |