| NPI | 1861735664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13697) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: MD R168308) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-08-12 |