| NPI | 1255454658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 12095) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |