| NPI | 1720019524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-055243) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-09-14 |