| NPI | 1225319437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3674) |
| Additional Taxonomies | 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: HI 3674) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |