| NPI | 1396309258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |