| NPI | 1760896013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX F50025266) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2022-07-21 |