| NPI | 1255219648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 758018) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WA 758018) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |