| NPI | 1225470008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 2398635) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2398635) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-05-09 |