| NPI | 1396883757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C9165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006449) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007244) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-08-02 |