| NPI | 1679893655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WY 22824) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-05-31 |