| NPI | 1316217870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: 000000000) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2023-07-17 |