| NPI | 1447098017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |