| NPI | 1699223206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9380537) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-14 |