| NPI | 1871722561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 100581) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AK 100581) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |