| NPI | 1104063601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5329 (LCSW)) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000007550) |
| 104100000X Social Worker (Licence: NC P004357) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2016-07-19 |