| NPI | 1124624481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH FPS.000129) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH 3123613) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2025-03-23 |