| NPI | 1417344763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1500121) |
| 104100000X Social Worker (Licence: TN LSW0000010112) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-01-31 |