| NPI | 1104962422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5421) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN CSW6499) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-02-17 |