| NPI | 1184305054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE REGISTRY1651) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NE 96373) |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NE 3947) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |