| NPI | 1487006078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P009232) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000008264) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-07 |