| NPI | 1386006583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 376J00000X Homemaker | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2017-02-28 |