| NPI | 1508227026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 171W00000X Contractor |
| 225400000X Rehabilitation Practitioner | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |