| NPI | 1790181204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 16AL1087-A) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-09-12 |