| NPI | 1932809399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: VA 4116) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |