| NPI | 1306225230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |