| NPI | 1598121006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NV NV20111404144) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-10-08 |