| NPI | 1093883811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9240091) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 104100000X Social Worker | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-06-22 |