| NPI | 1336930395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |