| NPI | 1689089880 |
|---|---|
| Former Name | ANNA RUBALNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-08-14 |