| NPI | 1902371743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |