| NPI | 1578902078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD MSDEID4772) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MD MSDEID4772) |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist (Licence: MD MSDEID4772) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-04-14 |