| NPI | 1932476611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 3162012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 3162012) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-08-17 |