| NPI | 1225285026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000006294) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904008747) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2016-05-17 |