| NPI | 1548880479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: MN 394113) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 394113) |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: MN 394113) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |