| NPI | 1962870212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |