| NPI | 1518783737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |