| NPI | 1598957433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 5265) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 5265) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |