| NPI | 1326119942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AZ BH2358) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-2358) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-10-17 |