| NPI | 1538529292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000006975) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904008709) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2025-07-15 |