| NPI | 1215742564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |