| NPI | 1497261309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1514) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2025-02-26 |