| NPI | 1306691035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000014913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW25780) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-12-05 |