| NPI | 1124439518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: AZ 5300770) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AZ 5300770) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2021-02-04 |