| NPI | 1811352016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 4474081) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2026-07-28 |