| NPI | 1801254867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MN 1079914-1-HCBS) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |