| NPI | 1215107487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9195976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL RN9195976) |
| 222Q00000X Developmental Therapist (Licence: FL RN9195976) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2012-04-17 |