| NPI | 1902436595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA CN0028835244) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA CN0028835244) |
| 251B00000X Case Management (Licence: GA CN0028835244) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-02-19 |