NPI | 1487191847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006953) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3976C) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2021-01-13 |