| NPI | 1275389785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: TX 1343548350002) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |