| NPI | 1285807073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 693094896/693094898) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |