| NPI | 1932411790 |
|---|---|
| Other Name | KHADEJAR T ADDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 015579-1) |
| Additional Taxonomies | 251C00000X (Licence: NY 015579-1) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |