| NPI | 1548704950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 1965) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-02-05 |