| NPI | 1871933556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 989878001) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 132560021) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |