| NPI | 1033883582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1759416231) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-02-08 |