| NPI | 1053837922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI AS410388538) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |