NPI | 1700261385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NJ 46TR00703600) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 019786) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2015-12-02 |