| NPI | 1881007664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH M4802691) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH M4802691) |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: OH M4802691) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |