| NPI | 1831479518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW004691) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LSW0000005616) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-10-09 |