| NPI | 1568784155 |
|---|---|
| Former Name | SUSAN RAE FARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |