| NPI | 1184853962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital (Licence: VA 0904006547) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904006547) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-02-18 |