| NPI | 1144358193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 102) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: VA 102) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |