| NPI | 1326994559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 2087) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 2087) |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |