| NPI | 1164493938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW5057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6790) |
| 1041C0700X Social Worker, Clinical (Licence: TN CSW6790) | |
| 1041C0700X Social Worker, Clinical (Licence: TN TN5057) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2019-06-09 |