| NPI | 1619755402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider (Licence: VA 8598-08-011) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 8598-08-011) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |