| NPI | 1932522125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI 414840000) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: WI 0018383) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WI 0018383) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2025-02-26 |