| NPI | 1316748577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: OH S.2512514) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2303323-TRNE) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-05-26 |