| NPI | 1225450802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TN 1000000012765) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 1000000012765) |
| 251B00000X Case Management (Licence: TN 1000000012765) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2024-02-25 |