| NPI | 1356717136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009103) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2024-09-06 |