| NPI | 1326613589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-06-04 |