| NPI | 1487529442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 3139247) |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-11-21 |