| NPI | 1336325851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004868) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 2207-C) |
| 1041C0700X Social Worker Clinical (Licence: OH I.084005) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2009-04-13 |