| NPI | 1689933442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |