NPI | 1447792304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 7393320) |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: AZ 7393320) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2020-03-16 |