| NPI | 1528310950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW6580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw10823) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2018-09-19 |