| NPI | 1396236790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-08-07 |