| NPI | 1356632087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: WY 114858300) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |