| NPI | 1801567763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |