| NPI | 1790096410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 72738373503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7273837-3503) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2013-09-26 |