| NPI | 1689902710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000007632) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 4177C) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2018-07-23 |