| NPI | 1922779628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |