| NPI | 1124701966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 104100000X Social Worker |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-08-25 |