NPI | 1093193179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 209903) |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |