NPI | 1235440439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 113194) |
Additional Taxonomies | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
Enumeration Date | 2010-06-23 |
Last Update Date | 2024-11-05 |