| NPI | 1922570712 |
|---|---|
| Other Name | KATRINA STOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |