| NPI | 1023479581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WY 108824624) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-04-07 |