| NPI | 1538659800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 1109713171) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 1109714171) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |