| NPI | 1982045811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006961) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000463) |
| 104100000X Social Worker (Licence: CO 954) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09923987) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2021-06-07 |