| NPI | 1609273127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13425) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2023-08-31 |