| NPI | 1063005361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: AZ 12796589) |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 174400000X Specialist | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2025-09-08 |