| NPI | 1053962381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QP2300X Clinic/Center, Primary Care | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |