| NPI | 1295627107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 951625) |
| 374U00000X Home Health Aide | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-08-30 |