| NPI | 1487051678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000007453) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: AR 7551-C) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C8311) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2021-05-20 |