| NPI | 1972466001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |