| NPI | 1518131721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11207807-3502) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2025-07-18 |