| NPI | 1942693544 |
|---|---|
| Other Name | LINDA IACOBELLI WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |