| NPI | 1073864039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006878) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2019-05-08 |