| NPI | 1245507532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MI afo080294826) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MI AFO080294826) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |