| NPI | 1821008277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000000754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSWOO3637) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-09 |