| NPI | 1053066365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |