| NPI | 1598396384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |