| NPI | 1710870654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 373H00000X Day Training/Habilitation Specialist | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |