| 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 |