| NPI | 1235949389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |