| NPI | 1366705865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 641279) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 641279) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |