| NPI | 1972367381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R224835) |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |