| NPI | 1215371117 |
|---|---|
| Former Name | JACQUELINE KAYE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4246) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2026-03-03 |