| NPI | 1033625702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC PO13131) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-159) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-10-14 |