| NPI | 1215181219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2022-10-13 |