NPI | 1912104670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 347C00000X Private Vehicle |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-07-13 |