| NPI | 1679097992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA SC17028) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |