| NPI | 1821136110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW3950) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LSW0000003950) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-03-17 |