NPI | 1245372754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CT 065) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |