| NPI | 1144654732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009197) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: NC C009197) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2020-01-15 |