| NPI | 1902516552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171M00000X Case Manager/Care Coordinator | |
| 174400000X Specialist | |
| 405300000X Prevention Professional (Licence: TX certificate) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-02-08 |