| NPI | 1457516502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117385) |
| 104100000X Social Worker (Licence: TN CSW0000007246) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-10-11 |