| NPI | 1578832416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WV AP00938645) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2024-08-01 |