| NPI | 1902167166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3410182) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-02-07 |