| NPI | 1124254990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004943) |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2024-11-01 |