| NPI | 1679761951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009555) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-11-23 |