| NPI | 1003142670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW3826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C5883) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |