NPI | 1417390451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 2341440) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 2341440) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2023-12-05 |