| NPI | 1194476846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013730) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-11-07 |