NPI | 1063826550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 174400000X Specialist (Licence: NY 798187131) |
174400000X Specialist (Licence: NY 798319131) | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2023-08-17 |