| NPI | 1629726583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-06-30 |