| NPI | 1306434758 |
|---|---|
| Former Name | SHELIA ANN UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |