| NPI | 1598280562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |