| NPI | 1154286268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 123) |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2026-03-10 |