| NPI | 1093973679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL O243-013-81-799-0) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |