| NPI | 1992566111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-17 |