| NPI | 1073120986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |