| NPI | 1912530650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171W00000X Contractor |
| 225C00000X Rehabilitation Counselor | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |