| NPI | 1912778341 |
|---|---|
| Former Name | STACEY L GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |