| NPI | 1033500566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015948) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-06-14 |