| NPI | 1689469348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MS 194265) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS 334824) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |