| NPI | 1043688336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 3747A0650X Technician, Attendant Care Provider | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |