| NPI | 1760992333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: AZ 7633247) | |
| 171W00000X Contractor (Licence: AZ 7633247) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2021-12-23 |