| NPI | 1750791786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL 5560) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-07-22 |