| NPI | 1982755575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05298800) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-02-01 |