| NPI | 1447979844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 1109755) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN 1109755) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-30 |