| NPI | 1992984538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004968) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TN 6738) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2023-10-17 |