NPI | 1386907798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 175306.) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2012-06-20 |
Last Update Date | 2012-06-20 |