| NPI | 1740483528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL OT12756) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |