| NPI | 1538874730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2524226) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 1675910231) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-01-06 |