| NPI | 1821168550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: TN LSW4985) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005499A) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-09-12 |