| NPI | 1740395086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006717) |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-02-25 |