| NPI | 1639008204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 347-005-649) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: CA 347003007) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |