NPI | 1891198792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2014-10-06 |
Last Update Date | 2023-12-01 |