| NPI | 1003308016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251300000X Local Education Agency (LEA) | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |