| NPI | 1447653654 |
|---|---|
| Other Name | TAMIKA INGLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 882338141) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 882338141) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-12-03 |