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 |