| NPI | 1548959992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-11-02 |