| NPI | 1003983230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AZ BH2086) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-2086) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-18 |