| NPI | 1306209028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-07-05 |