| NPI | 1235810193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-09-12 |