| NPI | 1316950892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004019) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-09-10 |