| NPI | 1831741602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-07-07 |