| NPI | 1467006601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1099384) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MN 1099384) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |