| NPI | 1437354149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 001007876) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2024-01-09 |