| NPI | 1043470131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008634) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN CSW0000007414) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-01-23 |