NPI | 1063953115 |
---|---|
Former Name | GINA BIANCA DAURO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 3832192) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2020-01-24 |