| NPI | 1164705281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-09-25 |