| NPI | 1740427020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 00005) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-29 |