NPI | 1578211496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-05-02 |