| 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 | 2025-09-11 |