| NPI | 1093445223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 376K00000X Nurse's Aide | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-06-11 |