| NPI | 1649754250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006949) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000010738) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-07-20 |