NPI | 1144618521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861122) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ID CFH-10581) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2025-05-20 |