NPI | 1740473297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-08-18 |
Last Update Date | 2007-08-18 |