| NPI | 1912796160 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2025-05-05 | 
| Last Update Date | 2025-05-05 |