| NPI | 1598174609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174H00000X Health Educator |
| 3747P1801X Technician, Personal Care Attendant | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |