| NPI | 1467116921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-04-14 |