NPI | 1679824213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 696020961) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 696021961) |
252Y00000X Early Intervention Provider Agency (Licence: NY 114093021) | |
Enumeration Date | 2012-09-22 |
Last Update Date | 2012-09-22 |