| NPI | 1558651646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-07-12 |