| NPI | 1699155580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 05071326c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005873) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |