| NPI | 1104284314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 3547228) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-05-19 |