| NPI | 1134964331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY $$$$$$$$$) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY $$$$$$$$$) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |