NPI | 1154832996 |
---|---|
Professional Name | NICOLE RYANN MIHALIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1179261171) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-10-19 |