| NPI | 1366106544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 1244461) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-11-29 |