| NPI | 1518679984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: OH 22287064) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 405300000X Prevention Professional (Licence: OH 3058628) | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |