| NPI | 1083907984 |
|---|---|
| Former Name | TOSHA MARIE DUNLAP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL OTA10267) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |