| NPI | 1578142824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: HI 1-210018) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI 1-210018) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |