| NPI | 1013316249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 247200000X Technician, Other |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2024-11-15 |