| NPI | 1700489309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |