| NPI | 1922453612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: VA 0117005509) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-01-13 |