| NPI | 1134497894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000005634) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW004184) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2024-08-09 |