| NPI | 1801999156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: SC R98972) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC R98972) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2013-03-20 |