| NPI | 1396057261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 290116091) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2019-12-10 |