| 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 |