| NPI | 1316349103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 19895) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2023-10-25 |