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 |