| NPI | 1730885419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 374943) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |