| NPI | 1346604691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |