| NPI | 1518562420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251X00000X Supports Brokerage | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |