NPI | 1346491842 |
---|---|
Former Name | DEBRA LAKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 859883) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2021-08-13 |