| NPI | 1568836518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000009868) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-06-29 |