| NPI | 1497916225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA OC001036L) |
| Additional Taxonomies | 171W00000X Contractor (Licence: PA OC001036L) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |