| NPI | 1659551950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4481) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17111) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2019-02-18 |