| NPI | 1447957709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-05-03 |