| NPI | 1649136623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-02 |