| NPI | 1073869517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000006968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000009076) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-08-30 |