| NPI | 1679954549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AZ BH5270) |
| Additional Taxonomies | 171W00000X Contractor (Licence: AZ BH4643) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-09-04 |