| NPI | 1407304272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006692) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 976) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000009906) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-09-24 |