| NPI | 1558104273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 177F00000X Lodging | |
| 174H00000X Health Educator | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-10-07 |