| NPI | 1073484671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 376K00000X Nurse's Aide | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |