| NPI | 1497360986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: MD 16A11203-A) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 16A11203-A) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |