| NPI | 1245285105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9165427) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-07-15 |