| NPI | 1841105046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 253J00000X Foster Care Agency | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-08-14 |
| Last Update Date | 2026-08-14 |