NPI | 1821293887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OK 100668710A) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: OK 100668710B) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2007-07-08 |