NPI | 1689924193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL RN9626371) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2024-02-23 |