| NPI | 1568642643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 385hr2055x) | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2026-03-19 |