| NPI | 1417153891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5058) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN CSW0000006594) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-04-19 |