| NPI | 1649526120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 251B00000X Case Management | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-06 |