| NPI | 1023285731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW4777) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-07-22 |