| NPI | 1275673337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LCSW00005158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 11651-C) |
| 1041C0700X Social Worker, Clinical (Licence: TN CSW0000006936) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-06-08 |