| NPI | 1477374023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |