| NPI | 1881821288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000007292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005407) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2023-09-07 |