| NPI | 1336147552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN CSW6155) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-02-20 |