| NPI | 1003878810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 07580) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-09-11 |