| NPI | 1588805881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MA 6534) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |