| NPI | 1902227465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 571233178) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 571233178) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 571233178) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 571233178) | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |