| NPI | 1316437221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 311Z00000X Custodial Care Facility | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-04-05 |