| NPI | 1366585804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 0000003889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 0000003889) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-07-27 |