| NPI | 1699813873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN CSW0000005687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5409) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-03-01 |