| NPI | 1093545873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-12 |