| NPI | 1013433887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |