| NPI | 1275305930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251C00000X | |
| 251C00000X | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |