| NPI | 1831246453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 101Y00000X) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-02-18 |