| NPI | 1437412434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY NYS EI ID 8993) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 8993) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-29 |