NPI | 1578902078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD MSDEID4772) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MD MSDEID4772) |
171M00000X Case Manager/Care Coordinator | |
222Q00000X Developmental Therapist (Licence: MD MSDEID4772) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2017-04-14 |