| NPI | 1053869800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 141309) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 141309) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-26 |