| NPI | 1447522990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004643) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2019-01-31 |