| NPI | 1740556919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000009002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13022) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2024-05-13 |