| NPI | 1457622581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006284) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005411) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2016-08-10 |