| NPI | 1417124892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: FL 08IV028) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 69042596) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |