| NPI | 1477115293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5170661) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-03-03 |