| NPI | 1730411141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9201218) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL RN9201218) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2016-09-09 |