| NPI | 1467105700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: RI 53213) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-02-20 |