| NPI | 1558514505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD 06000) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |