| NPI | 1578067344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 1092664-1-HCBS) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: MN 1092664-1-HCBS) |
| 385H00000X Respite Care (Licence: MN 1092664-1-HCBS) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |