| NPI | 1013360874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9220013) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |