| NPI | 1366386252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0021075) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: WI 0021075) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-28 |