| NPI | 1194913277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN CMSW6205) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN LADAC959) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2007-10-14 |