| NPI | 1972967560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 385H00000X Respite Care (Licence: KY 1110209) |
| 171M00000X Case Manager/Care Coordinator (Licence: KY 4206479) | |
| 163WA2000X Registered Nurse, Administrator (Licence: KY 1110209) | |
| 163WC0400X Registered Nurse, Case Management (Licence: KY 4206479) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: KY 1110209) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-09 |