| NPI | 1225366925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: WY 251C00000X) |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: WY 251C00000X) |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: WY 251C00000X) | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child (Licence: WY 251C00000X) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |