| NPI | 1417425323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 227800000X Respiratory Therapist, Certified | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |