| NPI | 1104639574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NE 21911) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |