| NPI | 1780908772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |