| NPI | 1982605960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 51310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000004613) |
| 1041C0700X Social Worker Clinical (Licence: TN LSW0000004613) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-03-17 |