| NPI | 1770151078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000015046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 135354-121) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-09-17 |