| NPI | 1871036095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000011048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000007572) |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2022-07-27 |