| NPI | 1619812484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 04167693Z) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL 04167693Z) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |