| NPI | 1962776567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023002695) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890135731TELE) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2025-07-28 |