| NPI | 1588473060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 172A00000X Driver (Licence: NE H12420276) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |