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 |