| NPI | 1518963149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004257) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 8769C) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-11 |