| NPI | 1609012483 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251B00000X Case Management | 
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services | 
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-12-27 | 
| Last Update Date | 2008-12-27 |