| NPI | 1780290247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW7771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17526) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-02-04 |