| NPI | 1598986945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: WY 115090100) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 115090100) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |