| NPI | 1174835961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-12895) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: AZ LMSW-12895) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |