| NPI | 1679366447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |