NPI | 1972914968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 771583131) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 771583131) |
252Y00000X Early Intervention Provider Agency (Licence: NY 771732131) | |
174400000X Specialist (Licence: NY 771732131) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-20 |