NPI | 1477676500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 7805049) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |