| NPI | 1659174555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |