| NPI | 1033431721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 201030354LPN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA VN246897) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-10-08 |