| NPI | 1063125631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-05-18 |