| NPI | 1922151091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 005181316) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-05-22 |