| NPI | 1174003123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: OH 7608548) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 7608548) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH 7608548) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |