| NPI | 1184479370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5325C) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |