| NPI | 1184622383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW3620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-07410) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-06-19 |