| NPI | 1780067967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 287936) |
| Additional Taxonomies | 104100000X Social Worker |
| 164W00000X Licensed Practical Nurse (Licence: CA 287936) | |
| 251B00000X Case Management (Licence: CA 287936) | |
| 251E00000X Home Health (Licence: CA 287936) | |
| 310400000X Assisted Living Facility (Licence: CA 5564237740) | |
| 310400000X Assisted Living Facility (Licence: CA 287936) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: CA 287936) | |
| 314000000X Skilled Nursing Facility (Licence: CA 287936) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |