NPI | 1134987035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 4538) |
Enumeration Date | 2024-03-06 |
Last Update Date | 2024-04-23 |