| NPI | 1841614484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L49273) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2015-08-17 |