| NPI | 1013277599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |