| NPI | 1538518568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008036068) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |