| NPI | 1649563495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8575255-6004) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2024-03-12 |