| NPI | 1376871459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000001085) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2011-04-20 |