| NPI | 1285144527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000003605) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: TN 6314574) | |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2017-10-06 |