| NPI | 1831239771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-07-09 |