| NPI | 1952967200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |