| NPI | 1932338795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 3924) |
| Additional Taxonomies | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider (Licence: MA 3103) |
| 227800000X Respiratory Therapist, Certified (Licence: MA 3103) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |