NPI | 1194088195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1842527) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 798464) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2012-06-25 |