| NPI | 1386068963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL11839) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL AL11839) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |