| NPI | 1386234607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-06-08 |