| NPI | 1245611383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 9805) |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-08-01 |