| NPI | 1255497038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 4563) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: AZ 4563) |
| 253J00000X Foster Care Agency | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-03-02 |