| NPI | 1306435532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000007164) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.020088) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |