| NPI | 1215216668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MD 17157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 17157) |
| 253J00000X Foster Care Agency (Licence: MD 17157/0896) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2015-08-12 |