NPI | 1356523708 |
---|---|
Former Name | JENNIFER P GIROUARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2007-11-28 |
Last Update Date | 2012-01-04 |