| NPI | 1831041730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 174400000X Specialist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-02-12 |