| NPI | 1811480353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 1079306161) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2025-09-10 |