NPI | 1447675616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 1457855355) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2014-02-25 |
Last Update Date | 2022-03-30 |