| 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 |