| NPI | 1982084794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 171W00000X Contractor |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 6448722) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-06-02 |