| NPI | 1720797970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385H00000X Respite Care | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |