| NPI | 1154773984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CO 16738578) |
| Additional Taxonomies | 376J00000X Homemaker |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: CO 16738578) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2017-03-30 |