| NPI | 1992930168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 0000006537) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2012-04-02 |